Individual
DR. VIRGINIA YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 EAST HOSPITAL RD, CREDENTIALS COORDINATOR, FORT GORDON, GA 30905
(706) 787-2776
Mailing address
1 7TH ST STE 1502, AUGUSTA, GA 30901-1343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
40121
GA
2084P0800X
Psychiatry Physician
Primary
40121
GA
Other
Enumeration date
07/27/2005
Last updated
07/09/2014
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